Sierra Hills Women'S Center and Advanced Gynecology

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SIERRA HILLS WOMEN'S CENTER AND ADVANCED GYNECOLOGY

Practice address

4641 Missouri Flat Rd
Placerville, CA 95667-6816

Phone

(612) 600-5366

NPI assigned

Sep 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer M. L. Boni, MDNPI 1558570911

Title

Ceo

Phone

(612) 600-5366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Madeline Lee Boni, M.D.

  • Obstetrics & Gynecology Physician
  • Placerville, CA
  • NPI 1558570911
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1629896766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 GOLDORADO TRL",
            "city": "EL DORADO",
            "state": "CA",
            "postal_code": "956234521",
            "telephone_number": "612-600-5366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 MISSOURI FLAT RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676816",
            "telephone_number": "612-600-5366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HILLS WOMEN'S CENTER AND ADVANCED GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BONI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M. L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-600-5366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Sherman, MFT TRAINEE
• Shingle Springs Rancheria
• Shingle Springs Rancheria
• Mohammed Fazil Siddiqi, MD
• Sierra Foothill Family Medical Associates
• Sierra Immediate Care Medical Center
• Sierra Orthopaedic & Athletic Rehabilitation Physical Therapyinc
• Monica A Silva, MFT
• Jessica Simons
• Sharon E Simonson

• Obstetrics & Gynecology Physician in Placerville, CA
• Providers in Placerville, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.